<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">
        
        <div class="layui-form-item">
            <label class="layui-form-label">用户ID</label>
            <div class="layui-input-block">
                <input type="text" name="user_id" class="layui-input" lay-verify="required" placeholder="请输入用户ID" value="{$row.user_id|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">提现金额</label>
            <div class="layui-input-block">
                <input type="text" name="amount" class="layui-input" lay-verify="required" placeholder="请输入提现金额" value="{$row.amount|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">提现状态（0审核中 1审核通过打款中 2提现成功 10提现被驳回）</label>
            <div class="layui-input-block">
                <input type="text" name="status" class="layui-input" lay-verify="required" placeholder="请输入提现状态（0审核中 1审核通过打款中 2提现成功 10提现被驳回）" value="{$row.status|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">变动后余额</label>
            <div class="layui-input-block">
                <input type="text" name="balance" class="layui-input"  placeholder="请输入变动后余额" value="{$row.balance|default=''}">
            </div>
        </div>
        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>

    </form>
</div>